Active NPI
Eric Robert Kafka, LCPC
- Professional Counselor
- Boise, ID
National Provider Identifier
1679915920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LCPC-5409
- Practice address
- 1075 E Park Blvd
Boise, ID 83712-7722 - Phone
- (208) 381-5970
- Fax
- (208) 381-5971
- NPI assigned
- Jul 26, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-3636 | ID | |
| Professional Counselor | 101YP2500X | LCPC-5409 | ID | Primary |
Addresses
Primary practice location
1075 E Park Blvd
Boise, ID 83712-7722
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Other practice location 1
141 Citation Way Unit 5
Hailey, ID 83333-5104
Phone (208) 578-2222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCPC-5409 | ID | MD | Professional Counselor |
| LPC-3636 | ID | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Family Services, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Twin Falls, ID
- NPI 1104942218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701648000000",
"number": "1679915920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 E BANNOCK ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837126241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1075 E PARK BLVD",
"city": "BOISE",
"state": "ID",
"postal_code": "837127722",
"telephone_number": "208-381-5970",
"fax_number": "208-381-5971"
}
],
"practiceLocations": [
{
"address_1": "141 Citation Way Unit 5",
"address_purpose": "LOCATION",
"city": "Hailey",
"state": "ID",
"postal_code": "833335104",
"country_code": "US",
"telephone_number": "208-578-2222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAFKA",
"first_name": "ERIC",
"middle_name": "ROBERT",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-26",
"last_updated": "2023-12-04",
"certification_date": "2023-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "LPC-3636",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "LCPC-5409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.